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foundations, NG tubes

by: Brenna Notetaker

foundations, NG tubes nurs 3370

Marketplace > East Carolina University > nurs 3370 > foundations NG tubes
Brenna Notetaker
GPA 3.4

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About this Document

part 2
Dr. Cherry
Class Notes
nursing foundations, NG tubes
25 ?




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This 3 page Class Notes was uploaded by Brenna Notetaker on Wednesday February 3, 2016. The Class Notes belongs to nurs 3370 at East Carolina University taught by Dr. Cherry in Spring 2015. Since its upload, it has received 16 views.


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Date Created: 02/03/16
Everyone with tube feeding that dies usually dies from aspiration pneumonia  Xray conformation to make sure tube in right place pH 1­4 = in stomach pH 7 & higher= in the lungs GI feedings don’t require consent form  GASTRIC DECOMPRESSION Blue peg tail (salem sump tube) = gastric decompression, way of venting air so pressure  doesn’t build up  Excess stomach acids can cause erosion in stomach  bleeding, ulcers Pepsid/protonix to prevent possibility of ulcers Uncomfortable, burning sensation   Toomey syringe  Pt can’t tell where tube is once passes the nasopharynx  Can’t talk during procedure, establish hand signal Want tube to go through esophagus  stomach  Can drink water w straw even if npo bc will suction back up. Don’t drink water if  vomiting a lot Lubricate tip of tube with WATER SOLUABLE  80­120 mmhg UNLESS low wall suction NEX (nose, ear, xiphoid) = how far you go down  Tube down nose=intubate  Warm up with washcloth bc it will go down easier   Lavage­ cleaning out (L=laundry) Gavage­ feeding (g=groceries) Stop feeding when pulling up in bed bc you lower the head of the bed.  If you kept it  going with them laying down the feeding can dump into lungs  CHAPTER 41 IN BOOK Listening for swooshing sound isn’t safe practice Aspirate for gastric contents  safe practice to assure in right sport  Biggest complaint post op with ng tube is throat pain. You can use a lidocaine based  spray, MAKE SURE NOT ALLERGIC TO LIDOCAINE. Some physicians say they can  have ice chips while its in but the second they take the tube out no more ice chips.  Everyone with a tube in for decompression must have an iv. Most will have some kind of  dextrose solution bc need calories/nutrients (LR or NS for diabetics) Tube feeding comp = constipation/diarrhea  Gastrostomy tube ­surgically put in ­feed & give meds through it  ­declogging kit  extended release/enteric coated cant be crushed if a med can be crushed but can be given in liquid form, liquid form better Institute safe medical practices­ what drugs cant crush  Safe practice = water/sterile water/ tap water/ saline (provider orders it) +crushed med,  never crush multiple meds together/mix crushed meds  Sterile water for immunosuppressed  Check tube each time for placement  Any acid inhibiting drugs/h2 blockers/ppis can throw off the pH and make it higher, it  doesn’t necessarily mean you’re not in the stomach High gastric residuals are usually bc of low gastric motility  To keep gastric residuals low: turn every 2 hrs, ambulate, sit up in chair, give water in  between feedings. If this doesn’t work will put on reglan to increase gastric motility  What residual will we withhold nutrition? If > 300­400 (also look at policy) Withholding nutrition can cause a cascading effect. Way to prevent = check them while  theyre on right side, turn off feeding pump and check residual  No protected airway  intubate To most ACCURATELY verify initial placement of tube= verify through radiologic  exam ON TEST 2  


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